Individual provider Active NPI

Joseph Daniel Gilbuena, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1356505960
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2039 Issued in AZ
Practice address
1010 East McDowell Rd
Ste 301
Phoenix, AZ 85006-2609
Phone
(602) 222-2234
Fax
(866) 985-7247
NPI assigned
Jul 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T3003 OH
Optometrist 152W00000X 3264ATI OR
Optometrist 152W00000X 2039 AZ Primary

Addresses

Primary practice location

1010 East McDowell Rd
Ste 301
Phoenix, AZ 85006-2609

Mailing address

1425 S Alma School Rd Ste 103
Mesa, AZ 85210-2000
Phone (480) 615-9010

Other practice location 1

1775 E Florence Blvd Ste 2
Casa Grande, AZ 85122-4842
Phone (520) 426-1600

Other practice location 2

1775 E Florence Blvd Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151216000844 AZ Practitioner - Optometry 9931361193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Eye Care, PLCGroup PAC ID 6406955731, 9 clinicians

Practice addresses (Care Compare)

560 E Continental Rd
Unit 104
Green Valley, AZ 85614-1825
Phone (520) 625-5673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2039AZMDClinical Psychologist
T3003OHMDOptometrist
3264ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Eye Care, PLC Optometrist CurrentSince Sep 3, 2024 Accepting new patients
Catalina Eye Care PC PastSince Sep 3, 2024 Accepting new patients

Locations

560 E Continental Rd
Unit 104
Green Valley, AZ 85614
Phone (520) 576-5110

8140 S Houghton Rd
Ste 140
Tucson, AZ 85747
Phone (520) 664-9801

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1356505960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S ALMA SCHOOL RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102000",
            "telephone_number": "480-615-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 EAST MCDOWELL RD",
            "address_2": "STE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062609",
            "telephone_number": "602-222-2234",
            "fax_number": "866-985-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 E Florence Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224842",
            "country_code": "US",
            "telephone_number": "520-426-1600",
            "fax_number": "520-426-1608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 E Florence Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "85122",
            "country_code": "US",
            "telephone_number": "520-426-1600",
            "fax_number": "520-426-1608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBUENA",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-12",
        "last_updated": "2024-02-28",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T3003",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3264ATI",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.